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General NPI Number Information
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NPI Number | 1134429202
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Entity Type | Individual
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Provider Name | MARY EILEEN KUC A.P.N.
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Gender | Female
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Dates
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Enumeration Date | 10/23/2010
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 10 POWELSON DR
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-2234
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Country | US
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Telephone | 908-904-9197
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Fax |
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS RD STE 220
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City | RED BANK
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State | NJ
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Zip | 07701-5792
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 26NJ00304000
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License Number State | NJ
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